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Home My WebLink AboutBLDE-22-007154r 1 Oft7ciciI Use Only Commonwealth of• 4. , Massachusetts Permit No. BLDE-22-007154 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee C'i1ecked IRev.1/07 _ { APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts F.Iccirical Code (?vll ( • ,27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/10/2022 City or Town of: YARMOUTH To the Inspector or ll'rrcv: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 18 OAK GROVE RD Owner or Tenant MILOT WILLIAM J Telephone No. Owner's Address MILOT JILL S, 8 NORTH WALKER ST, TAUNTON, MA 02780 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Chock Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts ' Overhead 0 Undgrd 0 ' Chi' I eters/ New Service Amps Volts Overhead 0 Undgrd 0 o. AN Number of Feeders and Ampacity ' drfr Location and Nature of Proposed Electrical Work: Rewire Unit#2 ' 4/1Ir pair 46 LI Comp/etion of the fidlotvilil. table n y e e , .:e p of Wires. No.of Recessed Luminaires 30 No.of Ceil.-Susp.(Paddle)Fans 3 No.of al Transformers „It. A No.of Luminaire Outlets 10 No.of Hot Tubs Gcncr'atrn-s 40 No.of Luminaires Swimming Pool Above ❑ In- ❑ No. oti?rnergency Lighting grnd. grnd. Battcry_Units No.of Receptacle Outlets 50 No.of Oil Burners FIRE A I ARMS No.of Zones No.of Switches 30 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of,Sierting Devices Tons No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW I,o,•at Fl Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW SecorF-' Systems:* No. z tt)cvices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of )cvices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of devices or Equivalent OTHER: ittac-h nddrtiarnal l it desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy Work to start: Inspection to be requested in accordance with MER' Rule 10,aid ,gun completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical wu;Ig ii',v issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersHned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LUIS MATUTE Licensee: LUIS MATUTE Signature LIC.NO.: 54935 (If applicable,enter"exempt"in the license number liner Bus.Tel.No.: Address:6 DANA AVE, HYDE PARK MA 02136 Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S" License: OWNER'S INSURANCE WAIVER: I am aware that the License does not have the liability insurance cm eritic normally required by law. But my signature below,I hereby waive this requirement. I am the(check one) 0 owner 0 owner's spelt?. Owner/Agent Signature Telephone No. [2'I-'It: UT FEE: $180.00 r--- 2E0r---6 lig 4ke 6r1.- tal 41/2,0tAVD )41.--t Chkr6) T. )-'-'t ND (Qt -d fir, n ZCommonwealth of/r/a�achadeita Official Use Only :*'-'..i: - -."2-72_-- 7 i,5 LI "_ ....„� *er ' ' ss-� cc77 Permit No, , -:i "" .LJeparfmQnE of}ir¢�ewice4 l l ' Occupancy and Fee Checked 0` ;, _ k BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 3 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (_,/ / 2- qt City or Town of: t,i j Oi j(i 7-0 To the Inspector of Wires: l By this application the undersigned gives notice of his or her intention to perform the electrical work described below. h (StreetNumber) ,IS7 C � ( oi , ) H Location & � .2 Owner or Tenant Telephone No. ci= Owner's Address j Is this permit in conjunction with a buildingpermit? Yes ❑ No E (Check Appropriate Box) lt)= Purpose of Building Utility Authorization No. Existing Service 1,00 Amps 120/ 21.4o Volts Overhead Undgrd g E No.of Meters Ri New Service Amps / Volts Overhead❑ Undgrd E No.of Meters Number of Feeders and Ampacity fi Location and Nature of Proposed Electrical Work: (2 lee, ((\)z, 2, Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires J No.of Cell:Susp.(Paddle)Fans ✓-, Transformers KVA No.of Luminaire Outlets .10 No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPao, Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ B t Units No.of Receptacle Outlets 50 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches �,Q No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges ,1 No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers i Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers s Space/Area Heating KW "cal I: Municipal Connection 0 other No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts g No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires, Estimated Value of Electrical Work: dn,( U .Cb (When required by municipal policy.) Work to Start: 6/ /,,o,2Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE,6 BOND 0 OTHER ❑ (Specify:) 6(7_ j-g g t- I certify,under the pains and penalties of pedtuy,that the information on this application is true and complete. FIRM NAME: L i ill P(J /I C LIC.NO.: Licensee: L'U.15 di P 7U T(= Signature Ai?.1-___? LIC.NO.: `5 9" rj 6(lf applicable,enter "exempt"in the license number line.) Bus.Tel.No.• Address: CG DAN A Pt)E, 4 i /n( ow,, Ifl 74, C-2 ,1 -3 6 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: